David Paltac, D.D.S.
Individual provider Active NPI General Practice Dentistry · Union, NJ
NPI 1104846435 · NPPES record last updated Jan 20, 2016
Key facts
- NPI
- 1104846435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DI01925300 (NJ)
- Practice address
- 1441 Morris Ave
Union, NJ 07083-3321 - Phone
- (908) 688-0022
- Fax
- (908) 851-9079
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI01925300 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Dental Center, L.L.C. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI01925300 | NJ | Yes |
Addresses
Primary practice location
1441 Morris Ave
Union, NJ 07083-3321
Mailing address
2055 Center Ave
Apt. 12B
Fort Lee, NJ 07024-4948
Phone (201) 944-1251
Other providers in Union, NJ
- Joseph Paintsil
- Kiruthiga Palaniswamy
- Maria Dolores Pallares
- Michael Anthony Palmer
- Patricia S Palmer
- Elizabeth A Panzner
- Patrice Paolella
- Paragon Point Home Care LLC
- Kenneth Park
- Dhara Patel
All providers in Union, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.